Soco Primary Care Clinic
NPI 1124677729 · Adult Health Nurse Practitioner · Pueblo, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Soco Primary Care Clinic is a Adult Health Nurse Practitioner organization in Pueblo, CO (NPI 1124677729).
Provider details
- NPI number
- 1124677729
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nicole Betts, President, Authorized Official(719) 582-1898
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-06
- Last updated
- 2020-04-30
- Certified
- 2020-04-30
Frequently asked questions
- What is Soco Primary Care Clinic's NPI number?
- Soco Primary Care Clinic's National Provider Identifier (NPI) is 1124677729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Soco Primary Care Clinic?
- Soco Primary Care Clinic is classified in the NPPES registry as Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Soco Primary Care Clinic located?
- Soco Primary Care Clinic's practice location on file with NPPES is 1310 Fortino Blvd Ste D, Pueblo, CO 81008-2076.
- What is Soco Primary Care Clinic's phone number?
- The practice phone number listed in the NPPES registry for Soco Primary Care Clinic is (719) 582-1898.
- Does Soco Primary Care Clinic accept Medicare?
- Soco Primary Care Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Soco Primary Care Clinic?
- The authorized official listed on Soco Primary Care Clinic's NPPES record is Nicole Betts, President, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Soco Primary Care Clinic's NPI active?
- Yes — Soco Primary Care Clinic's NPI (1124677729) is active in the NPPES registry as of the last update on 2020-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.